American College Of Surgeons - Inspiring Quality: Highest Standards, Better Outcomes

Surgical Error Understanding Safety Science in the Context of Complex Systems

Presented by Bruce Ramshaw, MD, FACS

Bruce Ramshaw, MD, FACSMonday, February 8, 2021 | 7:00 pm CT

More than 20 years ago, the Institute of Medicine published two books describing the tragic amount of unintended harm that occurs in our health care system. Little progress has been made since then. The science of complex systems presented in this webinar can help to understand structural problems that lead to these unintended errors in health care.

Learning Objectives

  • Understand the flaws of Reductionism and why using the principles of reductionism leads to unintended harm in healthcare
  • Describe the principles of Systems Science and how they could be applied to healthcare to improve outcomes
  • Describe the difference between a Just Culture and a culture of blame and their impact on patient safety

More about Bruce Ramshaw

Dr. Ramshaw received his undergraduate and medical degrees from the University of Florida and completed a general surgery residency at Georgia Baptist Medical Center, Atlanta, in 1994. After eight years in private practice, he moved to be a part of the Emory Endosurgery Unit at Emory University for three years and then served as Chief of General Surgery in a tenured professorship at the University of Missouri for five years. At Missouri, he redesigned the general surgery division to implement patient-centered care teams and saw the potential of a new model for health care. In July 2010, he moved with the hernia program he had developed at Missouri to Daytona Beach, FL, and helped start a general surgery residency program at Halifax Health. During that time, the hernia program was re-named Advanced Hernia Solutions, and Dr. Ramshaw founded a health care data analytics company, now known as CQInsights, to help mature a new model for health care based on measuring and improving value for the patient. He served as the President of the Americas Hernia Society from 2013 to 2014. In October 2015, he became a professor and the chair of surgery  at the University of Tennessee (UT) Knoxville and in 2017 he became an adjunct professor in the graduate and executive MBA program at the Haslam College of Business at UT. In 2019, he became a member of the International Advisory Council for APCO Worldwide. He continues to be committed to the effort to transform our health care system from one based on volume to one based on value for the patient. As of January 2019, he is on a clinical sabbatical and providing data consulting and analytics services to healthcare clients with his partners at CQInsights.

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